Evidence map›Paper›PMID 19763716›Full record

ArticleClinical orthopaedics and related research2010

Fear in arthroplasty surgery: the role of race.

Carlos J Lavernia, Jose C Alcerro, Mark D Rossi

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06112548 (The Efficiency of Periarticular Multimodal Drug Injection in Pain Management Following Primary Unilateral Total Knee Arthroplasty), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06112548 nacompletednot on this mapstarted 2024, after this paper: background citation

The Efficiency of Periarticular Multimodal Drug Injection in Pain Management Following Primary Unilateral Total Knee Arthroplasty: a Randomized Controlled Trial

TypeinterventionalSponsorDamascus UniversityRan2024 to 2025Enrolled80ConditionsArthritis Knee, Pain, Arthroplasty ComplicationsArmsprimary unilateral TKA, Bupivacain, ketorolac, epinephrine, Paracetamol
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Periarticular multimodal drug injection is better than single anesthetic drug in controlling pain after total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018
    Trial
  5. Do patient race and sex change surgeon recommendations for TKA?Clinical orthopaedics and related research · 2015
    Trial
  6. Article
  7. Article
  8. La Tunisie medicale · 2025
    Article
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  10. Review
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Preoperative Education for Hip and Knee Replacement: Never Stop Learning.Current reviews in musculoskeletal medicine · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Carlos J LaverniaOrthopaedic Institute at Mercy Hospital, 3659 South Miami Avenue, Suite 4008, Miami, FL 33133, USA. CLavernia@mercymiami.org
Jose C Alcerro
Mark D Rossi
Arthritis Foundation · USFlorida International University · USMercy Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledUnderstanding the difference in perceived functional outcomes between whites and blacks and the influence of anxiety and pain on functional outcomes after joint arthroplasty may help surgeons develop ways to eliminate the racial and ethnic disparities in outcome. We determined the difference in functional outcomes between whites and blacks and assessed the influence of fear and anxiety in total joint arthroplasty outcomes in 331 patients undergoing primary hip and knee arthroplasty. WOMAC, Quality of Well Being, SF-36, and Pain and Anxiety Symptoms Scale (PASS) were administered pre- and postoperatively (average 5-year followup). For the SF-36 General Health Score, blacks reported having worse perceived general health than whites before surgery. Regardless of time, blacks scored worse than whites for all measures except for the SF-36 physical function and general health scores. Blacks had a greater fear score (ie, that associated with the procedure) and total PASS score. For both races, there was a low association between the fear dimensions and dependent measures before and after surgery. Black patients undergoing hip and knee arthroplasty had lower scores than whites in most outcome measures regardless of time of assessment. We found higher fear levels before joint arthroplasty in blacks compared with whites. After surgery, blacks had much higher associations of the fear subscale, cognitive subscale, and total PASS score with the WOMAC physical function, pain, and total scores. LEVEL OF EVIDENCE: Level II, prospective controlled cohort study. See Guidelines for Authors for a complete description of levels of evidence.

Indexed as

Cultural CharacteristicsFearAgedAnxietyArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBlack PeopleFemaleHealth Status DisparitiesHumansMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneePainPain Measurement

Identifiers

PMID19763716
PMCPMC2807007
OpenAlexW1982477695

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.